scholarly journals A Case of Superficial Femoral Arteriovenous Fistula and Severe Venous Stasis Ulceration, Managed with an Iliac Extender Prosthesis

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Nicole Ilonzo ◽  
Selena Goss ◽  
Chun Yang ◽  
Michael Dudkiewicz
Keyword(s):  
Heart Failure ◽  
Arteriovenous Fistula ◽  
Endovascular Repair ◽  
Gunshot Wound ◽  
Venous Insufficiency ◽  
Venous Stasis ◽  
Arteriovenous Fistulas ◽  
History Of ◽  
Surgical Options ◽  
Steal Syndrome

Most femoral artery arteriovenous fistulas occur as a result of percutaneous interventions. However, arteriovenous fistulas can occur in the setting of trauma, with resultant consequences such as heart failure, steal syndrome, or venous insufficiency. Indications for endovascular repair in this setting are limited to patients who are at too high risk for anesthesia, have a hostile groin, or would not survive significant bleeding. We report the case of a traumatic femoral arteriovenous fistula, causing severe venous insufficiency and arteriomegaly, in a 58-year-old male, with history of traumatic gunshot wound complicated by popliteal DVT. Surgical options for arteriovenous fistula include open and endovascular repair but this patient’s fistula was more suitable for endovascular repair for reasons that will be discussed.

Persistent venous leg ulcers complicated by linear morphea: a case report

2020 ◽  
Vol 29 (Sup9) ◽  
pp. S14-S20
Author(s):  
Georgeanne Cornell ◽  
Martin Kade Hardy ◽  
Jonathon Wilson
Keyword(s):  
Venous Insufficiency ◽  
Wound Care ◽  
Venous Stasis ◽  
Term Therapy ◽  
Leg Ulcers ◽  
Common Condition ◽  
Venous Ulcers ◽  
History Of ◽  
Long Term Therapy

Soft tissue ulceration resulting from chronic venous insufficiency is a common condition that requires standardised long-term therapy, which has been thoroughly established. We report a patient with a five-year history of persistent venous stasis ulcers despite treatment consistent with traditional wound care. Resolution of the ulcers began only upon deviation from conventional therapy. This report considers non-standard treatments in patients with venous ulcers that do not progress.

Onychodystrophy as the Presenting Sign of Steal Syndrome

2021 ◽  
pp. 1-4
Author(s):  
Colleen M. Morken ◽  
Sarah Mortimer ◽  
Richard Denney ◽  
Molly A. Hinshaw
Keyword(s):  
Emergency Department ◽  
Physical Examination ◽  
Vascular Surgery ◽  
Arteriovenous Fistula ◽  
Clinical Features ◽  
Radial Pulse ◽  
Critical Importance ◽  
Nail Changes ◽  
History Of ◽  
Steal Syndrome

A man in his 70s presented to the dermatology nail clinic with a 1-month history of worsening onychodystrophy, leukonychia, and pain in his left fifth finger. Physical examination revealed a cool hand and absent radial pulse. Ischemia was suspected, and the patient was sent to the emergency department where the diagnosis of steal syndrome was made and his previously required arteriovenous fistula was ligated. This case highlights the clinical features of steal syndrome, that nail changes should be recognized as clinical features, and that urgent triage of these patients to vascular surgery is of critical importance.

Preoperative Ultrasound Assessment for Dialysis Access Placement

2005 ◽  
Vol 29 (3) ◽  
pp. 131-136
Author(s):  
M. Ann Needham
Keyword(s):  
Renal Failure ◽  
Arteriovenous Fistula ◽  
Flow Diagram ◽  
Dialysis Access ◽  
Venous Outflow ◽  
The Status ◽  
Arterial Inflow ◽  
History Of ◽  
Ultrasound Assessment ◽  
Steal Syndrome

Vascular access includes any form of cannulation of arteries or veins. For the treatment of chronic renal failure, this term refers to the ability to access both the arterial inflow and the venous outflow for the purpose of replacing the function of the kidney. This work provides a brief review of the history of hemodialysis and presents the method we use currently to map the arterial and venous system prior to placement of an arteriovenous fistula. The purpose is to present the process we use to determine the status of the arteries and the venous patency, as well as the flow diagram we use to determine the steps taken for each patient referred for preoperative vein mapping, including the worksheet used to collect the information for the surgeon. This work presents the minimum prerequisites that are thought to be necessary to create a viable arteriovenous fistula. A brief discussion of the criteria and protocol is presented that is used to diagnose steal syndrome from the hand. Billing codes are included when this procedure is used.

Hepatoportal Arteriovenous Fistula and Portal Hypertension in an Infant

PEDIATRICS ◽  
1977 ◽  
Vol 60 (6) ◽  
pp. 921-924
Author(s):  
M. A. Helikson ◽  
D. L. Shapiro ◽  
J. H. Seashore
Keyword(s):  
Heart Failure ◽  
Portal Hypertension ◽  
Arteriovenous Fistula ◽  
Clinical Presentation ◽  
Vascular Lesions ◽  
New Haven ◽  
Arteriovenous Shunting ◽  
Pregnancy And Delivery ◽  
History Of ◽  
Haven Hospital

Hepatic vascular lesions are rare, particularly in children. Hemangioendotheliomas frequently cause congestive heart failure secondary to systemic arteriovenous shunting of blood, whereas fistulas between the hepatic artery and portal vein usually produce portal hypertension and its complications. We report the fourth, and youngest, child with hepatoportal arteriovenous fistula (AVF). The clinical presentation of acute portal hypertension mimicking intestinal obstruction is unique. CASE REPORT A 5-week-old, 3.7-kg girl was admitted to Yale-New Haven Hospital with a one-week history of vomiting, diarrhea, and abdominal distention. Pregnancy and delivery had been uncomplicated. Findings of the physical examination were normal except for the abdomen which was distended and tympanitic, with high-pitched bowel sounds.

scholarly journals Uterine Arteriovenous Fistula with Concomitant Pelvic Varicocele: Endovascular Embolization with Onyx-18®

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Francesco Giurazza ◽  
Fabio Corvino ◽  
Andrea Paladini ◽  
Antonio Borzelli ◽  
Domenico Scognamiglio ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Clinical Success ◽  
Young Patients ◽  
Endovascular Embolization ◽  
Childbearing Age ◽  
Arteriovenous Fistulas ◽  
Uterine Arteries ◽  
Life Threatening ◽  
History Of ◽  
Endovascular Approach

Uterine arteriovenous fistulas are rare and acquired causes of life-threatening vaginal bleeding. They usually present with intermittent menometrorrhagia in young patients in childbearing age with history of gynecological procedures on uterus. Traditional management is hysterectomy; endovascular embolization represents nowadays an alternative strategy for patients wishing to preserve fertility. Here, the endovascular approach to a 29-year-old woman affected by severe menometrorrhagia caused by a uterine arteriovenous fistula with a concomitant pelvic varicocele is reported; a bilateral uterine arteries embolization with Onyx-18 (ev3, Irvine, CA, USA) has successfully resolved the fistula with clinical success.

Feasibility of a 3 mm arteriotomy for brachiocephalic fistula formation

2020 ◽  
pp. 112972982095993
Author(s):  
Jeremy Crane ◽  
Safa Salim ◽  
Rowland Storey
Keyword(s):  
Arteriovenous Fistula ◽  
Primary Patency ◽  
Fistula Formation ◽  
Secondary Patency ◽  
Dialysis Access ◽  
Hammersmith Hospital ◽  
History Of ◽  
Steal Syndrome ◽  
Brachiocephalic Fistula

Background: The arteriovenous fistula is the modality of choice for long-term haemodialysis access. We describe the feasibility of routinely fashioning a brachiocephalic fistula utilising a 3 mm long arteriotomy in an attempt to reduce the incidence of symptomatic steal syndrome yet while maintaining satisfactory clinical outcomes. Methods: All patients who underwent brachiocephalic fistula formation using a routine 3 mm long arteriotomy within Hammersmith Hospital between January 2017 and March 2018 were included. Primary outcomes included primary failure, failure of maturation, secondary patency and steal syndrome. Results: Sixty-eight brachiocephalic arteriovenous fistula were fashioned utilising a 3 mm long arteriotomy during the study period. Mean age was 60.5 years with 59% having a history of diabetes mellitus. Mean followup was 368 days. Primary failure occurred in 10 (14.7%) patients. Cannulation was achieved in 67.3% of remaining fistula within 3-months, rising to 87.3% by 6-months. Primary patency at 6 and 12 months was 76% and 69%, respectively. Secondary patency at 6 and 12 months was 94% and 91%, respectively. Dialysis access steal syndrome was clinically apparent in three (4.4%) patients with all cases being managed conservatively. Conclusion: A 3 mm long arteriotomy may be routinely utilised for brachiocephalic fistula creation in an attempt to limit the incidence of steal syndrome yet while maintaining clinical patency outcomes.

scholarly journals Endovascular Repair for Traumatic Superficial Femoral Arteriovenous Fistula with High-output Heart Failure: Report of a Case

2019 ◽  
Vol 30 (1) ◽  
pp. 15-18
Author(s):  
Hajime Tsuyuki ◽  
Kazunori Inuzuka ◽  
Masaki Sano ◽  
Takaaki Saito ◽  
Kazuto Katahashi ◽  
...  
Keyword(s):  
Heart Failure ◽  
Arteriovenous Fistula ◽  
Endovascular Repair ◽  
High Output Heart Failure ◽  
High Output

Percutaneous embolization of renal arteriovenous fistula

VASA ◽  
2005 ◽  
Vol 34 (3) ◽  
pp. 207-210 ◽  
Author(s):  
Sendi ◽  
Toia ◽  
Nussbaumer
Keyword(s):  
Heart Failure ◽  
Arteriovenous Fistula ◽  
Clinical Symptoms ◽  
Rare Complication ◽  
Abdominal Discomfort ◽  
Renal Arteriovenous Fistula ◽  
Percutaneous Embolization ◽  
Arterial Access ◽  
Number Of Publications ◽  
Occluding Balloon

Acquired renal arteriovenous fistula is a rare complication following a nephrectomy and its diagnosis may be made many years after the intervention. The closure of the fistula is advisable in most cases, since it represents a risk for heart failure and rupture of the vessel. There are an increasing number of publications describing different techniques of occlusion. The case of a 70-year-old woman with abdominal discomfort due to a large renal arteriovenous fistula, 45 years after nephrectomy, is presented and current literature is reviewed. Percutaneous embolization was performed by placing an occluding balloon through the draining vein followed by the release of nine coils through arterial access. One day after successful occlusion of the fistula, clinical symptoms disappeared.

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